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评估肌电图生物反馈作为辅助疗法在脊髓损伤患者体能训练中的作用。

An assessment of the contribution of electromyographic biofeedback as an adjunct therapy in the physical training of spinal cord injured persons.

作者信息

Klose K J, Needham B M, Schmidt D, Broton J G, Green B A

出版信息

Arch Phys Med Rehabil. 1993 May;74(5):453-6. doi: 10.1016/0003-9993(93)90103-h.

DOI:10.1016/0003-9993(93)90103-h
PMID:8489350
Abstract

This study tested the efficacy of biofeedback when administered in conjunction with physical rehabilitation therapy to chronic C5-7 quadriplegics. Triceps brachii, biceps brachii, wrist extensors, and wrist flexors were tested. The studied muscles were compromised by the injury to varying degrees, but were often still useful to these subjects. An exercise regimen was given to all subjects. In addition, subjects were separated into two groups: those who received biofeedback training and those who did not. Two measures of performance were tested: manual muscle scores and functional activities scores. Both groups scored significantly higher on both measures after 12 weeks of rehabilitation therapy. We found no evidence that biofeedback generally increased the amount of improvement seen. These results do not support the routine use of biofeedback in the treatment of chronic spinal cord injury, but rather further stress the importance of exercise therapy for such injuries.

摘要

本研究测试了生物反馈与物理康复治疗相结合对慢性C5 - 7四肢瘫痪患者的疗效。测试了肱三头肌、肱二头肌、腕伸肌和腕屈肌。所研究的肌肉因损伤而受到不同程度的损害,但对这些受试者仍常常有用。所有受试者都接受了一套锻炼方案。此外,受试者被分为两组:接受生物反馈训练的组和未接受生物反馈训练的组。测试了两项表现指标:徒手肌力评分和功能活动评分。经过12周的康复治疗后,两组在这两项指标上的得分均显著提高。我们没有发现证据表明生物反馈通常会增加所观察到的改善程度。这些结果不支持在慢性脊髓损伤治疗中常规使用生物反馈,而是进一步强调了运动疗法对这类损伤的重要性。

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